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DR. SAMANTHA R AVERY D.O.
NPI 1215178090
Internal Medicine - Cardiovascular Disease in South Pasadena, FL

Active since March 09, 2009PECOS EnrolledAccepts Medicare Assignment
1615 PASADENA AVE S STE 300, SOUTH PASADENA, FL 33707(277) 490-3030 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 31, 2022, Aug 27, 2019, Jul 1, 2019 (3 updates tracked since 2019).

About Dr. Samantha R Avery D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMANTHA R AVERY D.O. (NPI 1215178090) is an individual cardiovascular disease provider in South Pasadena, Florida, licensed in Florida (OS 11371) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2008).

NPPES Registry Identity

NPI1215178090
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameDR. SAMANTHA R AVERYCredential: D.O.
Location Address1615 PASADENA AVE S STE 300South Pasadena, FL 33707-4567
Mailing Address4560 7th Ave NSt Petersburg, FL 33713-6218 · (407) 719-3370 · Fax (917) 831-4677
Phone(277) 490-3030
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2008
Enumeration DateMarch 9, 2009
Last NPPES UpdateOctober 1, 20253 updates tracked since enumeration
NPPES CertifiedOctober 1, 2025
✔ NPI 1215178090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in FL · OS 11371✔ Licensed in OH · 34.016407✔ Licensed in PA · OS022821✔ Licensed in OR · DO214145✔ Licensed in IN · 01089349A✔ Licensed in CT · 73591✔ Licensed in AZ · 010143✔ Licensed in CO · DR.0070152✔ Licensed in SC · 92684✔ Licensed in NY · 339916✔ Licensed in NC · 25MB11818700✔ Licensed in NM · DO2023-1051✔ Licensed in NV · DO3464✔ Licensed in NJ · 25MB11818700
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1615 PASADENA AVE S STE 300, South Pasadena, FL 33707
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Other Identifiers 1

OtherHT787ZFL · Medicare Id-type Unspecified

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Samantha R Avery D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143443697
PECOS Enrollment IDI20140602001029, I20230622003161, I20230630002288, I20231121000782, I20251002004310
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

12

Medicare enrollment records show Samantha Avery reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Knd Development 59 LLC
6.3 mi
Hospitalist
3030 6TH ST S
Saint Petersburg, FL 33705
  • Reassigned Medicare billing, Florida, North Carolina and Ohio enrollments
  • Also billed through NPI 1619206133 (North Carolina), NPI 1992034680 (Ohio)
  • 187 clinicians in this Medicare group
NPI 1245569870 (727) 894-8719
Cardiology Interpreters Inc
189 mi
Technician, Cardiology
11651 CENTRAL PKWY STE 106
Jacksonville, FL 32224
  • Reassigned Medicare billing, Florida enrollment
  • 139 clinicians in this Medicare group
NPI 1477887149 (904) 396-2342
Colonial Family Practice - Manning
435 mi
Family Medicine
1036 PROFESSIONAL CT
Manning, SC 29102
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Colonial Family Practice LLC
  • 82 clinicians in this Medicare group
NPI 1689006652 (803) 773-5227
Wilmington Health PLLC
528 mi
Multi-Specialty
1202 MEDICAL CENTER DR
Wilmington, NC 28401
  • Reassigned Medicare billing, North Carolina enrollment
  • 444 clinicians in this Medicare group
NPI 1881632339 (910) 341-3300
American Health Network Of Indiana LLC
751 mi
Radiology
4101 TECHNOLOGY AVE
New Albany, IN 47150
  • Reassigned Medicare billing, Florida and Indiana enrollments
  • Also billed through NPI 1831236272 (Indiana)
  • 3 clinicians in this Medicare group
NPI 1164304424 (812) 542-1901
American Health Network Of Ohio, LLC
836 mi
Family Medicine
4072 GANTZ RD
Grove City, OH 43123
  • Reassigned Medicare billing, Ohio and Florida enrollments
  • Also billed through NPI 1548142987 (Florida)
  • 74 clinicians in this Medicare group
NPI 1336188861 (614) 875-0011
El Monte Clinica Medica General Medical Center, Inc
899 mi
Multi-Specialty
11001 MAIN ST STE 301
El Monte, CA 91731
  • Reassigned Medicare billing, California enrollment
  • 30 clinicians in this Medicare group
NPI 1093762593 (626) 443-4300
Family Practice Center, PC
956 mi
Physical Therapist
7 DOCK HILL RD
Middleburg, PA 17842
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 357 clinicians in this Medicare group
NPI 1154376937 (570) 837-2123
Garden State Healthcare Associates, LLC
1,017 mi
Emergency Medicine
29 E 29TH ST
Bayonne, NJ 07002
  • Reassigned Medicare billing, New Jersey enrollment
  • 637 clinicians in this Medicare group
NPI 1700014545 (844) 242-7436
Prohealth Physicians PC
1,115 mi
Family Medicine
3 FARM GLEN BLVD, PROHEALTH PHYSICIANS
Farmington, CT 06032
  • Reassigned Medicare billing, Connecticut enrollment
  • 496 clinicians in this Medicare group
NPI 1720194053 (860) 284-5200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33707 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
87%2,250 patients3/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
95%585 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
23%317 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%977 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
96%954 patients4/55-star benchmark: 97%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
38%586 patients2/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
85%991 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
76%532 patients4/55-star benchmark: 88%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
16%968 patients1/55-star benchmark: 96%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
100%954 patients5/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
59%954 patients3/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 561 patients
0%561 patients5/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
14%954 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANITA RAVI M.D
Internal Medicine (Cardiovascular Disease)
1615 PASADENA AVE S STE 300
SOUTH PASADENA, FL 33707
Pinellas County (727) 490-3030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Avery's NPI number?

The NPI number for Samantha Avery is 1215178090. It was assigned to this individual provider in the NPPES registry on March 9, 2009.

Where is Samantha Avery located?

Samantha Avery practices at 1615 Pasadena Ave S Ste 300, South Pasadena, FL 33707. The listed phone number is (277) 490-3030.

What is Samantha Avery's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Samantha Avery enrolled in Medicare?

Yes. Samantha Avery is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Samantha Avery's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Avery reassigns Medicare benefits to 12 organizations: Knd Development 59 LLC (Saint Petersburg, FL), Cardiology Interpreters Inc (Jacksonville, FL), Colonial Family Practice - Manning (Manning, SC), Wilmington Health PLLC (Wilmington, NC), American Health Network Of Indiana LLC (New Albany, IN) and 7 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Avery's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Avery accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, Moda Health Plan, Inc. and Oscar Health and 2 other insurers list Samantha Avery as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Avery was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.